Umuthi 'Korglikon ": yokusetshenziswa, intengo, analogs futhi ukufundwa

thuthuva abahlukahlukene enhliziyweni - kuyinkinga kubantu abaningi. Ngokuvamile ukuze aqede izimpawu noma ukumisa ukuqhubeka kwesifo, iziguli ebekiwe izidakamizwa eyaziwa ngokuthi "glycosides inhliziyo". futhi "Korglikon" libhekisela leli qembu izidakamizwa. Yokusetshenziswa, izinkomba ukuze ayokwelashwa, imiphumela emibi, analogs nokubuyekeza - omagazini main ezithinta iziguli. Ngakho-ke yini lokhu imithi futhi yini izindawo?

Sakhiwo Ukwakheka

Ukulungiselela "Korglikon" ikhishwe ngendlela isixazululo ukusula umjovo ephethe tinge kancane aphuzi. Umuthi okuthengiswa ingilazi ampoules emqulwini ka 1 ml. iphakethe ngasinye siqukethe 10 ampoules.

The main izidakamizwa esebenzayo kuyinto Korglikon izidakamizwa - a glycoside eziphila abakhuthele, okuyinto etholakala amaqabunga lily we esigodini. Omunye ngemililitha solution iqukethe 600 mg yabaphathi, ngokufanele, emakamu kuyinto 0,06%. Njengoba izinto asizayo bukhona hlorbutanolgidrat ukwakheka kanye ukuhlanzwa amanzi umjovo.

Incazelo izakhiwo kwemithi izidakamizwa

Izingxenye asebenzayo ekulungisweni etholwe ehlambulula isiqetjhana lily we esigodini futhi ezahlukeneyo zalo. Kuyinto glycoside inhliziyo, okuyinto has emzimbeni womuntu kuba nomphumela inotropic omuhle.

Lesi sidakamizwa oyenza isebenze-sodium ne-calcium exchange ulwelwesi of cardiomyocytes, okuyinto, kube sekwandisa amandla ukusikwa imisipha yenhliziyo. Phakathi ukwelashwa nge ukwanda unhlangothi ivolumu, encishisiwe ekupheleni-systolic nevolumu diastolic ezisekujuleni kwenhliziyo futhi wehlise esivimba amanzi nomoya-mpilo funa.

imithi futhi ihlinzeka negative chronotropic umphumela. Ukwelapha kuholela ekwandeni baroreceptor cardiopulmonary ukuzwela, ukunciphisa umsebenzi ngokweqile ohlelweni onozwela. Ngakolunye uhlangothi, umuthi kwandisa umsebenzi emsipheni vagus, isivinini umeshaet ka conduction ngiyibona ngokusebenzisa engeyokuqala atrioventricular futhi ngaleyo ndlela inikeza umphumela antiarrhythmic.

Ephambi kwezinduna tachyarrhythmias atrial le imithi siyehla isibalo sabantu ventricular ukusikwa, bandisa diastole, kuthuthukisa gemodinaminu intracardiac. Lapho iqondiswa ngemithambo yegazi, umuthi iqala ukwenza emva kwemizuzu 3-5. umphumela maximal laligujwa emva kwemizuzu 25-30 emva izidakamizwa abaphathi.

Yiziphi izinkomba zokwelapha lesi sifo?

Lesi sidakamizwa ngokuvamile sisetshenziswa imithi yesimanje. Kodwa iziguli abaningi banesithakazelo umbuzo ukuthi, lapho amacala imithi kuyafaneleka "Korglikon". Izinkomba ukusetshenziswa ezahlukene lapha. Ikakhulukazi, iqondiswa ukuba iziguli atrial fibrillation tachysystolic fomu. Futhi, izidakamizwa kusiza flutter atrial , paroxysmal hlobo.

Kunezinye izimo lapho kungcono ukusebenzisa izidakamizwa "Korglikon". Izinkomba yokwamukelwa - liphinde tachycardia paroxysmal supraventricular. Zokwelapha zanamuhla, izidakamizwa ngokuvamile iqondiswa iziguli esingamahlalakhona njalo wesibili, wesithathu nowesine ekilasini sokusebenza. Ngokwemvelo, ngesifo ezifana imijovo nje ziyingxenye yale therapy eziyinkimbinkimbi.

Medicine "Korglikon": yokusetshenziswa

Nikeza imithi efanayo can udokotela kuphela ngemva kokutshelwa ngokukhubazeka kwengane ngokuphelele. Lo chwepheshe uyophinde ukucacisa umthamo ngempumelelo kakhulu futhi esimisweni umjovo lemali. Ukulungisa isixazululo okuqukethwe eyodwa ampoule kuthiwa buhlanjululwe in 10-20 ml isixazululo dextrose noma glucose at lokuhlushwa 20 noma u-40%.

I umthamo owodwa for iziguli omdala kufana 0.5-1 ml ukulungiswa. Izingane ezineminyaka engu-6 kuya 12, ngokuvamile zithola hhayi ningi than 0.5-0.75 ml izidakamizwa. Ingane eneminyaka engu-2 kuya 5 ebekiwe 0.2-0.5 ml. Faka lwenkomo olufakwe amanzi isixazululo dextrose ngemithambo yegazi imizuzu engaphezu 5-6. Inqubo iyaphindwa kabili ngosuku ngomuthi ikhefu amahora okungenani 8-10. esiphezulu I umthamo wansuku zonke abadala kuyinto 2 ml "Korglikon". Isikhathi yokwelapha kunqunywa ngamunye.

Ingabe ikhona contraindications yokwamukela?

Kungakhathaliseki zonke izigaba iziguli avunyelwe ukwelashwa nge "Korglikon" izidakamizwa? Yokusetshenziswa iqukethe ulwazi Izimo yokwelapha bakhona, Ngakho-ke, ziwusizo ohlwini yabo izotholakala:

• Lesi sidakamizwa akuyona zinikwa hypersensitivity kunoma yikuphi nabavoti, kanye umzimba wakho uxabana ne glycosides inhliziyo.
• Izimo zihlanganisa atrioventricular block yesibili degree, kanye ngakanye ukuvinjelwa ephelele.
• Umuthi alamukeli iziguli ezine Wolff-Parkinson-White syndrome.
• Contraindication kuyinto ukudakwa glycoside.
• Medicine alisetshenziswa iphathe abesifazane abakhulelwe nabancelisayo.

Kukhona futhi okuthiwa Izimo isihlobo, uma lokho ukwelashwa kungenzeka kuphela ngaphansi ebhekiwe. Phakathi kwezimo ezinjalo zihlanganisa atrioventricular block idigri yokuqala, acute isilethikusebenza, hypertrophic stenosis subaortic, ukuhluleka kwenhliziyo ne ukungasebenzi diastolic, arrhythmia, angawodwa stenosis mitral, ukuphazamiseka of electrolyte, i-hypothyroidism, myocarditis, ukukhuluphala, ukwehluleka kwezinso futhi hepatic, alkalosis. Okumele kuqashelwe izidakamizwa elibekelwe ezigulini esezikhulile.

Ingabe nesenzakalo okungenzeka ukusabela ezingezinhle?

Iziguli eziningi ngaphambi kokuqala ukwelashwa ubuze imibuzo mayelana nezinkinga kungenzeka ku ngemuva ukusetshenziswa kwemithi "Korglikon". Yokusetshenziswa liqukethe ulwazi kanjani izidakamizwa ungakwazi empeleni ngibangele engemihle. Nasi uhlu yibo ezivamile:

• Phakathi ukwelashwa, abanye iziguli zingase ziqale i arrhythmia.
• Kusukela isimiso sezinzwa kukhona ukusabela kungenzeka ezifana ukudideka, ikhanda, ukozela yanda, ubuthongo thuthuva, isiyezi. Kakhulu kangakanani ukwehla acuity ezibukwayo. Kakhulu akuvamile, iziguli ziba delirium sengqondo.
• Ngezinye izikhathi kukhona ukungasebenzi hematopoiesis, okuyinto livezwa thrombocytopenia okungapheli, umongozima njalo, thrombocytopenic purpura.
• Kusukela isimiso sokugaya ukudla bungene kungenzeka ukwephulwa ezifana isicanucanu, ukuhlanza, ukungakuthandi ukudla, ukudla.
• Kungenzeka futhi ukusabela wendawo iguliswa ukuthi manifest zokuzikhukhumeza, ububomvu kwesikhumba, ukuqubuka futhi pruritus.

Uma kukhona noma iyiphi ukuwohloka kufanele kudokotela. Mhlawumbe uzodinga kuphela ukuze ulungise umthamo. Kodwa ngezinye izikhathi kuthatha ukuqedwa Imininingwane zomuthi.

Izidakamizwa "Korglikon": analogs futhi esikhundleni

Ezinye iziguli ngenxa yezizathu ezithile Ungasondeli imithi udokotela okhethiwe. Okufanele ukwenze ezimweni ezinjalo? Kungenzeka yini kube nokuthile okuzothatha indawo umuthi "Korglikon"? Analogs ithuluzi emakethe yesilungu yanamuhla ukuthola ukuthi akulula kanjalo, ngoba izidakamizwa kanye izithako ezisebenzayo ezifanayo nje abekho. Nokho, ungazama ukufaka esikhundleni salo omunye iqembu kwemithi.

Ngokwesibonelo, cishe ezifanayo kodwa ngesikhathi esifanayo nomuthi "Digoxin". Kwezinye izimo, esikhundleni ungasebenzisa izidakamizwa "Strofantin" esimelela out isinyathelo fast ngempela. By endleleni analogs akunakubangelwa "Digitoxin". Kuyaphawuleka ukuthi zonke lezi glycosides is etholakala izinto zokusetshenziswa zemifino.

Kungakanani Isidakamizwa?

Phakathi kwezinye izinto, kubalulekile ukuba iziguli eziningi futhi izindleko umuthi, okuyinto ebekwe udokotela kubo. Yiqiniso, inani eliqondile kunzima ukuchaza, ngoba konke kuncike umenzi, inqubomgomo yezezimali Pharmacy, idolobha yokuhlala nokunye. D.

Ngakho malini kuzobiza lesi sidakamizwa "Korglikon"? Intengo iphakheji ye izitsha eziyisikhombisa eziyishumi kuyinto ruble mayelana 50-65. By the way, umuthi, udayiswa ngumnikezeli kadokotela. Kuphela udokotela angakunika umuthi isiguli "Korglikon" (iresiphi ku Latin ubukeka - Corglyconi 0,06%).

Uphenyo kodokotela kanye neziguli

Ngo nezindlela zokwelapha zanamuhla, glycosides inhliziyo asetshenziswa kaningi. Futhi omunye izidakamizwa ethandwa kakhulu kuleli qembu nje "Korglikon". Izibuyekezo lodokotela abonisa ukuthi izidakamizwa empeleni sibhekane ngokuphumelelayo imisebenzi yabo, emsebenzini normaliziruya infarction, ekuqedeni izimpawu yesifo esithile nokuvimbela ukuxakeka.

Iziguli futhi ukushiya izibuyekezo omuhle umkhiqizo zokwelapha "Korglikon". Imiyalelo silula, ukuphathwa Asihlali isikhathi eside, futhi imishanguzo babekezelelwa kahle. Yize ukuthuthukiswa walabo noma ezinye ukusabela ezingezinhle, izifundo imininingwane babonisile ukuthi avele kakhulu kuyaqabukela. Futhi-ke, izindleko iphansana ingenye izinzuzo izidakamizwa. Ububi ingabe ukuthi akuzona zonke ekhemisi ethengisa lokhu izidakamizwa, ngakho ngezinye izikhathi kuba nzima ukuthola.

Kufanele kuqashelwe ukuthi akunakusetshenziswa hhayi angasebenzisa imithi eyedwa ngoba umthamo okungafanele kungabangela ukudakwa ezinzima.